RITA AGNES CROCKETT (NPI# 1326079930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326079930 |
Entity Type | Individual |
Full Name | RITA AGNES CROCKETT |
Credential | LPC, LADC |
Practice Address |
5228 Classen Cir Oklahoma City OK 73118-4429 |
Mailing Address |
3300 N Vermont Ave Oklahoma City OK 73112-3133 |
Practice Telephone | 4058409000 |
Practice Fax Number | 4058409017 |
Mailing Telephone | 4058505149 |
Mailing Fax Number | 4059467278 |
Enumeration Date | 2006-07-05 |
Last Update Date | 2009-10-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
32 | OK | Behavioral Health & Social Service Providers |
Y | 101YM0800X |
Counselor Specialization: Mental Health |
1898 | OK | Behavioral Health & Social Service Providers |
Street Address |
5228 CLASSEN CIR |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73118-4429 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609230762 | Hal B Vorse Md PC | Pediatrics | 5228 Classen Cir, Oklahoma City, OK 73118-4429 | 2016-04-05 |
1306217781 | Lindsay Reagan | Case Management | 5228 Classen Cir, Oklahoma City, OK 73118-4429 | 2015-10-12 |
1467852558 | Nanci Johnson | Case Manager/Care Coordinator | 5228 Classen Cir, Oklahoma City, OK 73118-4429 | 2014-08-26 |
1740629930 | Vonna J Lovett | Marriage & Family Therapist | 5228 Classen Cir, Oklahoma City, OK 73118-4429 | 2013-06-20 |
1104165174 | Ashley Weaver | Counselor | 5228 Classen Cir, Oklahoma City, OK 73118-4429 | 2013-02-11 |
1760721021 | Chase A Morgan | Counselor | 5228 Classen Cir, Oklahoma City, OK 73118-4429 | 2013-02-06 |
1780939736 | Vickie Alexander | Counselor | 5228 Classen Cir, Oklahoma City, OK 73118-4429 | 2012-07-16 |
1376817833 | Susan Hazelton | Counselor | 5228 Classen Cir, Oklahoma City, OK 73118-4429 | 2012-03-01 |
1114237203 | Susan Diane Harrigan | Counselor | 5228 Classen Cir, Oklahoma City, OK 73118-4429 | 2010-10-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255812772 | Karrie Danea Moreno | Behavior Technician | 1507 Ne 31st, Oklahoma, OK 73118 | 2018-08-23 |
1528578499 | Revive Medical LLC | General Practice | 4215 N Classen Blvd Ste 103, Oklahoma City, OK 73118 | 2017-10-05 |
1225556228 | Anika Carr | Case Manager/Care Coordinator | 1212 Nw 32nd Street, Oklahoma City, OK 73118 | 2017-08-30 |
1740635168 | Nikhil Malhotra | Internal Medicine | 3635 Vista Avenue At Grand Boulevard, 14th Floor, Desloge Towers, St. Louis, MO 73118 | 2016-05-04 |
1144694183 | Christopher Woon | Counselor | 4001 N Classen, Suite 105, Oklahoma City, OK 73118 | 2015-11-13 |
1699181925 | Stac Embry | Counselor | 3321 N. Mckinley Ave, Oklahoma City, OK 73118 | 2014-07-08 |
1194161216 | Jennifer Kaye Powers | Counselor | 3124 N. Classen Blvd., Ste. A, Oklahoma City, OK 73118 | 2013-05-15 |
1932445491 | Jessica Camp | Behavioral Analyst | 3220 N Harvey Pkwy, Oklahoma City, OK 73118 | 2013-01-02 |
1942578661 | Michael D Danielson | Behavioral Analyst | 4232 N Sante Fe Ave, Oklahoma City, OK 73118 | 2011-12-08 |
1912280587 | Tara Roberts | Counselor | 1743 Nw 37th, Oklahoma City, OK 73118 | 2011-09-21 |
Find all providers in zip 73118 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639777410 | Larissa Wilson | Counselor | 9112 Rolling Green Ave, Oklahoma City, OK 73132-2055 | 2020-10-13 |
1497368179 | The Possibilities Place LLC | Counselor | 6900 Basswood Canyon Rd, Oklahoma City, OK 73162-7207 | 2020-08-24 |
1306457569 | Compassionate Hand Counseling Services Inc | Counselor | 1414 Sw 89th St Ste B, Oklahoma City, OK 73159-6312 | 2020-08-12 |
1942819081 | Michael Sylvester Radonski | Counselor | 14700 Rambling Creek Cir, Oklahoma City, OK 73142-9719 | 2020-07-24 |
1548895931 | Court Assistance Programs Inc. | Counselor | 600 N Dewey Avenue Suite 100, Oklahoma City, OK 73102 | 2020-03-06 |
1730713884 | Hanna Pauline Nassar | Counselor | 405 Nw 33rd St, Oklahoma City, OK 73118-8644 | 2020-02-27 |
1699319475 | Stephanie Gaynell Potts | Counselor | 1724 Ne 54th St, Oklahoma City, OK 73111-6832 | 2019-11-04 |
1962062471 | Babatunde Olumuyiwa Sosanya | Counselor | 1900 N Macarthur Blvd Ste 125, Oklahoma City, OK 73127-2650 | 2019-06-17 |
1598321440 | Tiba Counseling Center, Inc. | Counselor | 4301 Nw 63rd St Ste 305, Oklahoma City, OK 73116-1504 | 2019-05-16 |
1588132542 | Allison Martha Gibson | Counselor | 2525 Nw Expressway Ste 220, Oklahoma City, OK 73112-7227 | 2018-11-08 |
Find all providers in OKLAHOMA CITY |
City | OKLAHOMA CITY |
Zip Code | 73118 |
Please comment or provide details below to improve the information on RITA AGNES CROCKETT.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.